Agency
The Charles Lea Center INC.
The Charles Lea Center INC. was paid $70.36M by Medicaid between Jul 2019 and Dec 2024, across 13 billing codes. Its largest line is T2016, a day of residential support for a person with a developmental disability — 76% of everything it billed.
33Billing provider infoTHE CHARLES LEA CENTER INC.
SPARTANBURG, SC 29307
SPARTANBURG, SC 29307
33aNPI1881034437assigned 06/27/2013
33bProvider typeCase Management Agency
28Total paid$70.36M
24GClaims416,655
24DCodes billed13
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in South Carolina
Rank by total paid#1 of 45
Median peer was paid$1.97M
This provider vs. median36×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 467 | $29K | |
| 2020 | 399 | $21K | |
| 2021 | 1,416 | $303K | |
| 2022 | 117,574 | $18.41M | |
| 2023 | 152,817 | $25.32M | |
| 2024incomplete | 143,982 | $26.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2016 | A day of residential support for a person with a developmental disabilityHabilitation, residential, waiver; per diem | 76% | 219,647 | 7,385 | $53.22M |
| T2020 | Day habilitation, waiver; per diem | 6.1% | 54,674 | 3,191 | $4.28M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 5.0% | 44,648 | 2,718 | $3.55M |
| H2026 | Ongoing support to maintain employment, per diem | 3.0% | 27,707 | 1,619 | $2.14M |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 3.0% | 8,596 | 268 | $2.11M |
| T2014 | Habilitation, prevocational, waiver; per diem | 2.2% | 20,116 | 1,284 | $1.55M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 2.1% | 22,603 | 12,872 | $1.45M |
| T2017 | Habilitation, residential, waiver; 15 minutes | 1.7% | 10,599 | 871 | $1.18M |
| H2025 | Ongoing support to maintain employment, per 15 minutes | <1% | 5,554 | 1,026 | $485K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | <1% | 1,348 | 188 | $304K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 297 | 24 | $29K |
| T1027 | Family training and counseling for child development, per 15 minutes | <1% | 377 | 177 | $28K |
1 more codes
| T1016 | Case management, each 15 minutes | <1% | 489 | $22K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBERNARD, GERALD (EXECUTIVE DIRECTOR)